Active NPI
Instride Foot and Ankle Specialists, PLLC
- Foot & Ankle Surgery Podiatrist
- Lincolnton, NC
National Provider Identifier
1083968614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC
- Practice address
- 626 Clark Dr
Lincolnton, NC 28092-3719 - Phone
- (704) 732-4361
- Fax
- (704) 849-2928
- NPI assigned
- Nov 5, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kevin L Killian
- Title
- Partner
- Phone
- (704) 847-9788
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
626 Clark Dr
Lincolnton, NC 28092-3719
Mailing address
534 W John St
Ste 100
Matthews, NC 28105-5483
Phone (704) 847-9788
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890156X | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
1022 Lee Ann Dr NE
Ste 216
Concord, NC 28025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1467244800000",
"number": "1083968614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "534 W JOHN ST",
"address_2": "STE 100",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281055483",
"telephone_number": "704-847-9788",
"fax_number": "704-849-2928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "626 CLARK DR",
"city": "LINCOLNTON",
"state": "NC",
"postal_code": "280923719",
"telephone_number": "704-732-4361",
"fax_number": "704-849-2928"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-05",
"last_updated": "2016-06-30",
"status": "A",
"authorized_official_last_name": "KILLIAN",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "704-847-9788",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890156X",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincolnton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.